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首页> 外文期刊>AIDS care. >Discrepancies between physician's perception of depression in HIV patients and self-reported CES-D-20 assessment: the DHIVA study
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Discrepancies between physician's perception of depression in HIV patients and self-reported CES-D-20 assessment: the DHIVA study

机译：DHIVA研究表明，医生对HIV患者的抑郁感与自我报告的CES-D-20评估之间存在差异

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Depression in HIV/AIDS patients affects adherence and disease progression and often goes unnoticed. DHIVA is a cross-sectional epidemiologic survey, investigating the prevalence of depression in people living with HIV through use of a validated self-administered scale (CES-D-20), as well and the degree of concordance between the physician's perception and patients' reports. A total of 690 HIV-infected patients attending 24 centers across Italy were enrolled. Concordance was calculated by K statistics. Association between depression and subject characteristics were evaluated through univariate and multivariate logistic models (OR and 95%CI). The prevalence of depressive symptoms was 48.8% from patient's questionnaires and 49.5% from physicians' reports, with a low/fair concordance (K=.38, p<.001). CES-D-20 found severe depression in 22.5% of the patients vs 4% identified by physicians. 135/155 (87%) of the severely depressed patients (according to CES-D-20) were considered as non or mildly/moderately depressed by physicians. Risk of severe depression was associated with unemployment (p<.001), previous depression (p<.001), treatment failure (p=.001), and former smoking status (p=.018). Depression is frequent in HIV-infected patients in the HAART era, with significant discrepancy between physician perception and the self-reported CES-D-20 results. Screening should be mandatory in all HIV patients.
机译：HIV / AIDS患者的抑郁症会影响依从性和疾病进展，并且常常不被注意。 DHIVA是一项横断面的流行病学调查，通过使用经过验证的自我管理量表（CES-D-20）来调查HIV感染者的抑郁症患病率，以及医师的认知度与患者的病情一致程度。报告。总共招募了690名在意大利24个中心接受HIV感染的患者。通过K统计来计算一致性。通过单变量和多变量逻辑模型（OR和95％CI）评估抑郁与受试者特征之间的关联。从患者的问卷调查来看，抑郁症状的患病率为48.8％，从医生的报告来看为49.5％，一致性低/公平（K = .38，p <.001）。 CES-D-20发现严重抑郁症的患者占22.5％，而医生确定为4％。医师认为135/155（87％）的严重抑郁症患者（根据CES-D-20）为非抑郁症或轻度/中度抑郁症。严重抑郁的风险与失业（p <.001），先前的抑郁（p <.001），治疗失败（p = .001）和以前的吸烟状况（p = .018）相关。在HAART时代，HIV感染患者的抑郁症很常见，医生的看法与自我报告的CES-D-20结果之间存在显着差异。对所有艾滋病毒患者都必须进行筛查。

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